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171 results on '"Akay, Mehmet H"'

4. Prehabilitation Maximizing Functional Mobility in Patients With Cardiogenic Shock Supported on Axillary Impella

Author

Bhardwaj, Anju, primary, Salas de Armas, Ismael A., additional, Bergeron, Amanda, additional, Sauer, R. Michelle, additional, Gilley, Christa, additional, Reeves, Kathryn, additional, Patarroyo-Aponte, Maria, additional, Akay, Mehmet H., additional, Patel, Manish, additional, Kumar, Sachin, additional, Patel, Jayeshkumar, additional, Marcano, Juan, additional, Nathan, Sriram, additional, Gregoric, Igor D., additional, and Kar, Biswajit, additional

Published
2024
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11. Does the Type of Chronic Heart Failure Impact In-Hospital Outcomes for Aortic Valve Replacement Procedures?

Author

Mubashir, Talha, primary, Zaki, John, additional, Yeong An, Sin, additional, Salas De Armas, Ismael A., additional, Liang, Yafen, additional, Markham, Travis, additional, Feng, Han, additional, Akay, Mehmet H., additional, Nascimbene, Angelo, additional, Akkanti, Bindu, additional, Williams, George W., additional, Zasso, Fabricio, additional, Aponte, Maria Patarroyo, additional, Gregoric, Igor D., additional, and Kar, Biswajit, additional

Published
2023
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12. Delayed versus primary sternal closure for left ventricular assist device implantation: Impact on mechanical circulatory support infections

Author

Akay, Mehmet H., primary, Jezovnik, Mateja K., additional, Salas De Armas, Ismael A., additional, Ilic, Milica, additional, Karabulut, Mehmet N., additional, Alagoz, Mehmet, additional, Patel, Manish, additional, Radovancevic, Rajko, additional, Kar, Biswajit, additional, and Gregoric, Igor D., additional

Published
2023
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13. Use of Percutaneous Left Ventricular Assist Device Before Durable Device Implantation in Patients With Cardiac Cachexia: Case Series

Author

Salas De Armas, Ismael A., primary, Bergeron, Amanda, additional, Akkanti, Bindu, additional, Akay, Mehmet H., additional, Scovell, Alison, additional, Patel, Manish K., additional, Patel, Jayeshkumar, additional, Bhardwaj, Anju, additional, Al Rameni, Dina, additional, Marcano, Juan, additional, Nascimbene, Angelo, additional, Kar, Biswajit, additional, and Gregoric, Igor D., additional

Published
2023
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16. The use of veno-arterial extracorporeal membrane oxygenation in the octogenarian population: A single-center experience.

Author

Salas de Armas, Ismael A, Holifield, Linda, Janowiak, Lisa M, Akay, Mehmet H, Patarroyo, Maria, Nascimbene, Angelo, Akkanti, Bindu H, Patel, Manish, Patel, Jayeshkumar, Marcano, Juan, Kar, Biswajit, and Gregoric, Igor D

Subjects
CARDIAC surgery, OCTOGENARIANS, POPULATION, HEART valve prosthesis implantation, AGE distribution, EXTRACORPOREAL membrane oxygenation, RETROSPECTIVE studies, SURVIVAL rate, URBAN hospitals, DESCRIPTIVE statistics, ELIGIBILITY (Social aspects), CATHETERIZATION, HEMORRHAGE, HEART failure
Abstract

Introduction: Advanced age is a known risk factor for poor outcomes after veno-arterial extracorporeal membrane oxygenation (V-A ECMO) for cardiac support. The use of ECMO support in patients over the age of 80 is controversial, and sometimes its use is contraindicated. We aimed to assess the use of ECMO in octogenarian patients to determine survival and complication rates. Methods: A single-center, retrospective analysis was completed at a large, urban academic medical center. Patients requiring V-A ECMO support between December of 2012 and November of 2019 were included as long as the patient was at least 80 years of age at the time of cannulation. Post cardiotomy shock patients were excluded. Results: A total of 46 patients met eligibility criteria; all received V-A ECMO support. Overall, the majority of patients (71.7%; 33/46) survived to decannulation, and 43.5% (20/46) survived to discharge. Patients who were previously rescued from percutaneous interventions tend to have a better survival than other patients (p =.06). The most common complications were renal and hemorrhagic. Conclusions: We demonstrated that advanced age alone should not disqualify patients from cannulating and supporting with V-A ECMO. [ABSTRACT FROM AUTHOR]

Published
2023
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18. Management of Patients with Refractory Cardiogenic Shock and Cardiointestinal Syndrome with Impella 5.5 as Bridge to Decision: Case Series

Author

Salas De Armas, Ismael A., Akkanti, Bindu, Bergeron, Amanda, Bhardwaj, Anju, Shirafkan, Ali, Dinh, Kha, Akay, Mehmet H., Patel, Jayeshkumar, Patel, Manish K., Gregoric, Igor D., and Kar, Biswajit

Subjects
FOS: Clinical medicine, FOS: Medical and health sciences
Abstract

Patients with advanced heart failure require multi-system management as most succumb to end-organ dysfunction, including gastrointestinal sequelae. Temporizing measures, such as early mechanical circulatory support, can assist in the recovery of patients with acute cardiogenic shock. The temporary support can improve patient characteristics to enable future definitive heart failure therapies such as durable left ventricular assist devices and orthotopic heart transplantation. We present two cases of cardiogenic shock that were successfully bridged with an Impella 5.5 (Abiomed). The management enabled the patients to recover from reversible cardiointestinal syndrome and undergo successful definitive therapies., Salas De Armas, Ismael A.; Akkanti, Bindu; Bergeron, Amanda; Bhardwaj, Anju; Dinh, Kha; Shirafkan, Nima A.; Patel, Jayeshkumar A.; Patel, Manish K.; Manrique Neira, Carlos R.; Gregoric, Igor D.; Kar, Biswajit; and Akay, Mehmet H. (2022) "Management of Patients with Refractory Cardiogenic Shock and Cardiointestinal Syndrome with Impella 5.5 as Bridge to Decision: Case Series," Journal of Shock and Hemodynamics: Vol. 1(2) :e20231216 https://doi.org/10.57905/josh/e20231216

Published
2023
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22. Bridge To Decision Or Destination With Impella 5.0 And 5.5 In Cardiogenic Shock

Author

Agrawal, Nikhil, primary, Hameed, Fariha R., additional, Kumar, Sachin, additional, Akkanti, Bindu, additional, Hussain, Rahat, additional, Jumean, Marwan F., additional, Bhardwaj, Anju, additional, Nathan, Sriram, additional, Patel, Manish K., additional, Salas de Armas, Ismael A., additional, Akay, Mehmet H., additional, Kar, Biswajit, additional, and Gregoric, Igor D., additional

Published
2022
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23. Clinical Outcomes Of Ventricular Assist Device Implantation Among Older Individuals: A Comparative Analysis

Author

Patnaik, Soumya, primary, Agrawal, Nikhil, additional, Hameed, Fariha R., additional, Kwak, Min Ji, additional, Bhardwaj, Anju, additional, Kumar, Sachin, additional, Akkanti, Bindu H., additional, Hussein, Rahat, additional, Jumean, Marwan, additional, Nascimbene, Angelo, additional, Nathan, Sriram, additional, Akay, Mehmet H., additional, Patel, Jayeshkumar A., additional, de Armas, Ismael A. Salas, additional, Patel, Manish K., additional, Kar, Biswajit, additional, and Gregoric, Igor D., additional

Published
2022
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24. Visual abstract – Supplemental material for Transaortic Placement of Percutaneous Mechanical Support Device via Partial Sternotomy: Feasible Option for Unsuitable Axillary Artery Access

Author

Salas de Armas, Ismael A., Shirafkan, Ali, Akay, Mehmet H., Patel, Jayeshkumar, Patel, Manish K., Marcano, Juan, Al Rameni, Dina, Zaki, John, and Gregoric, Igor D.

Subjects
FOS: Clinical medicine, 110323 Surgery
Abstract

Supplemental material, sj-pptx-1-inv-10.1177_15569845221123535 for Transaortic Placement of Percutaneous Mechanical Support Device via Partial Sternotomy: Feasible Option for Unsuitable Axillary Artery Access by Ismael A. Salas de Armas, Ali Shirafkan, Mehmet H. Akay, Jayeshkumar Patel, Manish K. Patel, Juan Marcano, Dina Al Rameni, John Zaki and Igor D. Gregoric in Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

Published
2022
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26. Tracheostomy while on Extracorporeal Membrane Oxygenation: A Comparison of Percutaneous and Open Procedures

Author

Salas De Armas, Ismael A., Dinh, Kha, Akkanti, Bindu, Jani, Pushan, Hussain, Reshma, Janowiak, Lisa, Kutilek, Kayla, Patel, Manish K., Akay, Mehmet H., Hussain, Rahat, Patel, Jayeshkumar, Patel, Chandni, Liang, Yafen, Zaki, John, Kar, Biswajit, and Gregoric, Igor D.

Subjects
surgical procedures, operative, Extracorporeal Membrane Oxygenation, Postoperative Complications, Tracheostomy, Humans, Original Article, Hemorrhage, Retrospective Studies
Abstract

Although the ideal timing of tracheostomy for critically ill patients is controversial, transitioning from an endotracheal tube can be beneficial. Concerns arise for patients under extracorporeal membrane oxygenation (ECMO) support. Studies have described percutaneous and open tracheostomy approaches for critically ill patients but, to our knowledge, have not compared the two specifically in ECMO patients. This study analyzed safety and aimed to identify if there was a difference in major bleeding or other tracheostomy-associated complications. A single-center retrospective cohort study of all patients who received tracheostomy while on ECMO from July 2013 to May 2019 was completed. The primary endpoint was a significant difference in the incidence of a major bleeding adverse event at 48 hours. Secondary endpoints included differences in the incidence of complications (e.g., procedure-related mortality, ECMO decannulation, tracheal/esophageal injury, and pneumothorax/pneumomediastinum) and survival to discharge. A secondary analysis separated the groups further by comparing those with bleeding events and those without. The study included 27 ECMO patients: 16 (59%) in the percutaneous arm and 11 in the open arm. The median number of ECMO days before tracheostomy was 10 vs. 13, respectively. There were no statistically significant differences between the two groups for major bleeding events (percutaneous 44% vs. open 27%, p = .45), procedure-related mortality, or procedure-related complications. Both percutaneous and open tracheostomies in patients on ECMO require a multidisciplinary approach to minimize adverse effects. Major bleeding does occur, but there was no statistically significant correlation between bleeding events and the type of the tracheostomy approach. Thus, both open and percutaneous tracheostomy approaches have a favorable safety profile.

Published
2020

28. Use of Transthoracic Echocardiogram to Detect Left Ventricular Thrombi

Author

Gregoric, Igor D., primary, Poredos, Pavel, additional, Jezovnik, Mateja K., additional, Ilic, Milica, additional, Shoukat, Sana, additional, Radovancevic, Rajko, additional, Sharma, Tanja, additional, Akay, Mehmet H., additional, Matejin, Stanislava, additional, Nathan, Sriram, additional, Patel, Manish, additional, and Kar, Biswajit, additional

Published
2021
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29. Regression of severe heart failure after combined left ventricular assist device placement and sleeve gastrectomy

Author

Nathan, Sriram S., primary, Iranmanesh, Pouya, additional, Gregoric, Igor D., additional, Akay, Mehmet H., additional, Kumar, Sachin, additional, Akkanti, Bindu H., additional, Salas de Armas, Ismael A., additional, Patel, Manish, additional, Felinski, Melissa M., additional, Shah, Shinil K., additional, Bajwa, Kulvinder S., additional, and Kar, Biswajit, additional

Published
2021
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31. Tracheostomy while on Extracorporeal Membrane Oxygenation: A Comparison of Percutaneous and Open Procedures

Author

Salas De Armas, Ismael A., primary, Dinh, Kha, additional, Akkanti, Bindu, additional, Jani, Pushan, additional, Hussain, Reshma, additional, Janowiak, Lisa, additional, Kutilek, Kayla, additional, Patel, Manish K., additional, Akay, Mehmet H., additional, Hussain, Rahat, additional, Patel, Jayeshkumar, additional, Patel, Chandni, additional, Liang, Yafen, additional, Zaki, John, additional, Kar, Biswajit, additional, and Gregoric, Igor D., additional

Published
2020
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36. Inter-hospital COVID ECMO air transportation

Author

Salas de Armas, Ismael A, primary, Akkanti, Bindu H, additional, Janowiak, Lisa, additional, Banjac, Igor, additional, Dinh, Kha, additional, Hussain, Rahat, additional, Cabrera, Rodolfo, additional, Herrera, Tony, additional, Sanger, Damon, additional, Akay, Mehmet H, additional, Patel, Jayeshkumar, additional, Patel, Manish K, additional, Kumar, Sachin, additional, Jumean, Marwan, additional, Kar, Biswajit, additional, and Gregoric, Igor D, additional

Published
2020
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37. Extracorporeal Membrane Oxygenation Utility in Postpartum Patients

Author

Akkanti, Bindu, primary, Salas De Armas, Ismael A., additional, Sachedina, Ayaaz K., additional, Sunny, Jennifer M., additional, Ahmed, Mahmoud Samy, additional, Kaur, Avaleen, additional, Dinh, Kha T., additional, Hussain, Rahat, additional, Kumar, Sachin, additional, Nathan, Sriram, additional, Jumean, Marwan, additional, Patel, Manish K., additional, Akay, Mehmet H., additional, Patel, Jayeshkumar A., additional, Witz, Barbi, additional, Zaki, John, additional, Banjac, Igor, additional, Janowiak, Lisa, additional, Gregoric, Igor D., additional, and Kar, Biswajit, additional

Published
2020
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47. Inter-hospital COVID ECMO air transportation.

Author

Salas de Armas, Ismael A, Akkanti, Bindu H, Janowiak, Lisa, Banjac, Igor, Dinh, Kha, Hussain, Rahat, Cabrera, Rodolfo, Herrera, Tony, Sanger, Damon, Akay, Mehmet H, Patel, Jayeshkumar, Patel, Manish K, Kumar, Sachin, Jumean, Marwan, Kar, Biswajit, and Gregoric, Igor D

Subjects
COVID-19, AIRPLANE ambulances, EXTRACORPOREAL membrane oxygenation, EVIDENCE-based medicine, RETROSPECTIVE studies, HOSPITAL admission & discharge, MEDICAL protocols, QUALITY assurance, PATIENT safety, ALGORITHMS
Abstract

The Coronavirus Disease 2019 (COVID-19) pandemic has required rapid and effective protocol adjustments at every level of healthcare. The use of extracorporeal membrane oxygenation (ECMO) is pivotal to COVID-19 treatment in cases of refractory hypoxemic hypercapnic respiratory failure. As such, our large, metropolitan air ambulance system in conjunction with our experts in advanced cardiopulmonary therapies modified protocols to assist peripheral hospitals in evaluation, cannulation and initiation of ECMO for rescue and air transportation of patients with COVID-19 to our quaternary center. The detailed protocol is described alongside initial data of its use. To date, 14 patients have been placed on ECMO support at an outside facility and successfully transported via helicopter to our hub hospital using this protocol. [ABSTRACT FROM AUTHOR]

Published
2021
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